Individual
DR. MICHELLE LEE CHANG-ANDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2430 SOUTH 73 STREET, SUITE 202, OMAHA, NE 68124
(402) 933-4632
(402) 933-5236
Mailing address
2430 SOUTH 73 STREET, SUITE 202, OMAHA, NE 68124
(402) 933-4632
(402) 933-5236
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6151
NE
1223G0001X
General Practice Dentistry
DT-1962
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100250728-00
—
NE
01
—
4618
BLUE CROSS BLUE SHIELD
NE
01
—
978843
UNITED CONCORDIA
NE
Enumeration date
08/18/2006
Last updated
07/12/2021
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